Macushla Colleen Kelly

NPI #1013897834 in Mound, Minnesota

Provider Information

NPI Number
1013897834
Entity Type
Individual
Name
Macushla Colleen Kelly
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Sep 3, 2025
Last Updated
Sep 3, 2025

Practice Location

Address
4895 EDGEWATER DR
City
Mound
ZIP Code
55364-2005
Phone
(612) 308-4309

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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